Provider Demographics
NPI:1528024973
Name:WEST, WHITNEY E (MD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:E
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ELISE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:550 SUN TEMPLE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8851
Practice Address - Country:US
Practice Address - Phone:860-337-9378
Practice Address - Fax:205-564-0552
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD24039207V00000X
SC88672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51523632OtherBCBS
AL7721582OtherAETNA
AL009966365Medicaid
AL0700238OtherUNITED HEALTH CARE
MD7721582OtherAETNA PPO
MDY888-0004OtherCAREFIRST
AL161853Medicaid
AL510511467OtherTRICARE
MD448115100Medicaid
AL51523632WESMedicare ID - Type Unspecified
MD448115100Medicaid
AL009966365Medicaid
MDY888-0004OtherCAREFIRST
AL102I160928Medicare PIN